TRAINING PROGRAMS
RedJ3uII
to
Randall's Island Urban Soccer Camp
July 15" - 19"
Randall's Island Park
Randall's Island Park Alliance and the West Side Soccer League have joined together to offer a FREE
scholarship soccer camp operated by New York Red Bulls.
The New York Red Bulls Youth Training Programs follow a researched and proven approach to player
development. The following information introduces our philosophy, player development rationale and the
methods that are used to deliver our curriculum.
The camp is for males and females ages 12 - 18 years from the local communities surrounding Randall's Island
Park.
Application Process:
All those that wish to be considered for the Urban Soccer Camp Scholarship must complete the attached
application and waiver. Please send your application, including a letter of reference to
Cynthaly Pinckney
Randall's Island Park Alliance
Icahn Stadium
20 Randall's Island
New York, NY 10035
212-860-1899
Soccercamp@randallsisland.org
Applications may be sent electronically to email address or mailed to Icahn Stadium.
Your application shall be reviewed promptly and you will be notified as soon as possible as to whether you
have been selected to participate. Spaces are extremely limited and you may be placed on a waiting list. Your
application should be submitted before June 14th, 2013.
Randall's 'Island
Park Alliance
Randall's Island Park - Soccer Fields #72-75
Location:
FREE - Scholarships provided to all campers
Cost:
See application process below for more details.
Age:
Girls and Boys: 12-18 years
Date:
July
Time:
10:00am to 2:30pm
Level:
Camp Includes:
All levels welcome - Beginner to Advanced
15 th
18th 2013
• New York Red Bulls Training Program Training Staff
•
Skills Challenge
•
Red Bull T-shirt
• Adidas Soccer Ball
• Ticket to a New York Red Bull game
• Lunch
• Bus Transportation
• EMT coverage
Daily Themes
Day
Topic
Focus Of The Daily Theme
Monday
Dribbling
Deceptive moves and feints to beat an opponent
Tuesday
Turns
Changes in direction to beat a player or create space
Wednesday
Receiving
Improving first touch to maintain possession of the ball
Thursday
Passing
Improve passing range and accuracy
Friday
Shooting
Striking techniques to score goals
Daily Schedule
9:45am
-
10:00am
10:00am
-
12:15pm
Check In
Technical Training
12:15pm-12:45pm
Lunch
12:45pm -1:30pm
Skills Challenge
1:30pm
-
2:10 pm
Conditioned Activity
2:10pm
-
2:30pm
Tournament Play
Letter of Recommendation:
Please provide us with a brief letter of recommendation detailing the reason(s) you are a good candidate to
receive an Urban Soccer Camp Scholarship. This letter may come from a teacher, coach, athletic director,
parent or another person who personally knows you and believes you should be considered for this
scholarship. This letter should be on a separate piece of paper, but attached to this application.
New York Red Bulls Academy - Training Program Registration
600 Cape May Street, Harrison, NJ, 07029
Office: 1-888-370-7287 - E-mail: traininqnewvorkredbulIs.com Website www.redbullsacademy.com
THIS IS A WAIVER OF RIGHTS, A CONSENT FOR PHOTOGRAPHS AND AN AGREEMENT TO PURSUE DISPUTES IN
LIMITED VENUES. READ THIS CAREFULLY, I UNDERSTAND THAT THIS IS A THREE PAGE DOCUMENT AND I MUST
READ AND ACCEPT THE TERMS ON ALL PAGES
Program Name
Randall's IsIandIWSSL Urban Soccer Camp
Player Name
Date of Birth:
Grade as of Sep
Sex:
Age:
Number of Years Played:
Address:
State:
City:
Zip:
PARENT/GUARDIAN AND EMERGENCY CONTACT:
Parent/Guardian Name:
E-Mail Address:
Work Ph:
Home Ph:
Cell Ph:
Addt'l Emergency Contact:
Relationship:
Work Ph:
Home Ph:
Cell Ph:
Family Doctor:
Doctor's Phone:
Health Insurance Company
Policy Number
MEDICATIONS BEING TAKEN: Please list all medications (including over the counter or non prescription drugs) taken routinely.
Bring enough medication to last the entire camp. Keep in the original packaging that identifies the prescribing physician (if prescription),
and the name of the medication.
This person takes NO medications on a routine basis: (circle one)
This person takes
medications as follows:
Yes
No
Med 1
Dosage
Frequency of Dosage
Reason for taking
Med 2
Dosage
Frequency of Dosage
Reason for taking
GENERAL QUESTIONS: (Circle Yes or No, and explain additional information on separate sheets)
Ever been hospitalized?
Y
N
Ever had surgery?
Y
N
Have frequent headaches?
Y
N
Ever had a head injury?
Y
N
Ever had ear infections?
Y
N
Ever had back problems?
Y
N
Have any skin problems
(e.g., itching, rash, acne)?
Had problems with
Y
N
Has asthma?
Y
N
Y
N
Y
N
Y
N
diarrhea/constipation?
Ever had an eating disorder?
Had mononucleosis in the last
12 months?
Ever had emotional difficulties
for which professional help
was sought?
EQUIPMENT: Check one:
Shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Ball Size
Adult Medium
Adult Large
Adult Extra Large
L....J
H
Size 2(2-4 years)
Size 3(5-7 years)
Size 4 (8-11 years)
Size 5(12 and up)
N
PLEASE REVIEW AND INITIAL EACH SECTION, A FULL SIGNATURE IS REQUIRED AT THE END OF THIS TWO PAGE WAIVER
1- This release is made to allow the participant, a minor, named in this online application (the "Participant"), to participate
in the RBNY Academy, Inc. Soccer Camp (the "Camp") and its sponsored events (the "Events") As the parent/legal
guardian of the Participant, I recognize that my electronic signature on this release is a condition of your permitting the
Participant to participate. I am granting my consent and providing the releases below on my own behalf, on behalf of
the Participant, and on behalf of and as the authorized agent for the Participant's other parent(s) and/or legal
guardian(s).
2-
INITIAL HERE_________
I agree on my own behalf, on behalf of the Participant, and on behalf of any other parent or legal guardian of the
Participant (all of us being called the "Participant Parties") that collectively, you, Randall's Island Park Alliance, Inc.
("RIPA") and West Side Soccer League ("WSSL")(collectively, the "Licensees") may photograph and/or videotape the
Participant during Camp and its Events and that the Licensees retain the rights to use these visual images in any
manner the Licensees wish without compensation to the Participant Parties or any one else that might purport to act
You own all rights in and to those images, including all copyrights therein.
on behalf of the Participant.
INITIAL HERE______
3-
I further agree on behalf of all Participant Parties that the Licensees may use and license others to use the
Participant's name, voice, likeness, and any biographical facts that may have been provided to you, including
advertising and promoting the Camp and its Events and that such use may be in brochures, videos, newpapers,
advertising,
and
other
online
media
outlets
INITIAL HERE
4-
On behalf of all the Participant Parties, I certify that the Participant is in excellent physical health and may participate
in strenuous and hazardous physical activities, including the soccer to be played at Camp, and that there are no
physical limits to the Participant's participation in the Camp and its Events.
INITIAL HERE_________
5-
I understand that you will make every reasonable effort to reach me or the other listed emergency contacts for
Participant provided by me in the event the Participant is injured while participating in the Camp or any other Event.
However, in the event I or any other designated emergency contact cannot be reached, and in the event of any
emergency in all cases, I hereby consent on behalf of all Participant Parties for the Participant to receive emergency
medical treatment from a doctor or athletic trainer if needed. I further agree to be responsible financially for the cost
of each assistance and/or treatment
INITIAL HERE_________
6-
On behalf of all the Participant Parties, I hereby acknowledge that shin guards are required for participation in the
Camp. I further understand and confirm on behalf of all the Participant Parties that mouth guards are recommended.
We understand that Participant is required to bring his/her own equipment, and I, on behalf of all the Participant
Parties, am assuming the further risk of injury to Participant if Participant arrives without such equipment, or fails to
use such equipment, during the Camp and/or its Events.
INITIAL HERE_________
7-
On behalf of all the Participant Parties, I hereby release, waive, and forever discharge RBNY Academy, Inc., Red Bull
New York, Inc., Major League Soccer, L.L.C., their members, managers, employees, agents, and independent
contractors and all their affiliated entities, the soccer camps (together the "Red Bull Parties") and Randall's Island
Park Alliance, Inc., the city of New York, the NYC Dept. of Parks and Recreation and West Side Soccer League, their
members, managers, employees, agents, and independent contractors and their affiliated entities (together the
"Randall's Island Parties") from any and all liability, claims, demands, and causes of action for personal injury,
property damage, emotional distress and/or any other loss or injury of any nature suffered by the Participant or any of
the other Participant Parties in connection with, arising from or relating to Participant's participation in the Camp and
its Events and any injuries and/or losses arising indirectly or directly from such participation, whether based on tort
(including, without limitation, acts of negligence and gross negligence), contract or any other theory of recovery in law
or equity, whether for compensatory or punitive damages, equitable relief or otherwise, and whether now known or
unknown, suspected or unsuspected (all of the foregoing collectively referred to as the "Released Claims"). On behalf
of all the Participant Parties, I understand and acknowledge that participating in sports can be hazardous, including
the significant risk of SERIOUS BODILY INJURY, illness, disability, emotional trauma, damage to property and
DEATH
("Injuries")
and
I
am
assuming
this
risk
on
behalf
of
all
Participant
Parties.
INITIAL HERE
7
8-
I understand that the Red Bull Parties do not maintain third party venues and that some of the Camps and Events for
which I am granting permission on behalf of all the Participant Parties may be held at such locations. On behalf of all
the Participant Parties, I hereby agree to waive, release, and forever discharge the Red Bull Parties from all claims
INITIAL HERE_________
relating to such third party locations.
9-
On behalf of all the Participant Parties, I hereby agree to defend (at the Red Bull Parties' or the Randall's Island
Parties' request, as applicable), indemnify and hold harmless each of the Red Bull Parties and the Randall's Island
Parties, as applicable, from and against any and all Released Claims, and any and all third parties and claims, arising
from or in connection with: (a) Participant's participation in the Camp and its Event, including, without limitation: (i) any
Injuries to Participant; (ii) any Injuries to third parties directly or indirectly arising from Participant's participation in the
Camp and its Events; and (iii) and any other loss or damage that Participant may directly or indirectly cause to any
INITIAL HERE_________
real or personal property, or to another participant.
10- On behalf of all the Participant Parties, I hereby agree and affirm that if any dispute arises in relation to the
Participant's participation in any Camp or Event, whether for injury to person or property, and whether such claim is
based on a tort, contract, or other legal or equitable basis, such claims shall only be pursued in a court of law of
competent jurisdiction in the Federal Court for the District of New Jersey or the state courts of the State of New
Jersey, to which exclusive jurisdiction the Red Bull Parties and I, on behalf of all the Participant Parties, agree to
submit. The Red Bull Parties and I, on behalf of all the Participant Parties, agree to waive the right to a trial before a
jury.
INITIAL HERE_____
11- If for any reason the preceding paragraph is not enforceable, then on behalf of all the Participant Parties, I agree that
any dispute arising in relation to the Participant's participation in any Camp or Event, whether for injury to person or
property, and whether such claim is based on a tort, contract, or other legal or equitable basis, shall only be pursued
by an arbitration proceeding before a retired judge selected by the parties, and the parties shall share equally the cost
of the arbitrator.
INITIAL HERE_________
12- Any action arising hereunder or related to the Camp and/or any Event will be governed by the laws of the State of
New Jersey regardless of conflict of law principles
INITIAL HERE_________
13- By clicking after each paragraph above, I am confirming that I have read and understand each paragraph, and that I
am agreeing to these terms on behalf of the Participant, and on behalf of myself and any other parent/legal guardian
of the Participant. If any provision of this document is unenforceable, on behalf of all the Participant Parties, I agree
that it will be deemed deleted and of no effect but that the Participant and I, and any other parent/legal guardian of the
Participant, will remain bound by all other provision of this document.
INITIAL HERE__________
Name of Parent/Guardian (please print)
Signature of Parent/Guardian
Date